| Avante Center For Counseling And Psychological Services, Inc. | |
|
667 N Main St Meadville PA 16335-1907 | |
| (814) 337-2037 | |
| (814) 337-2060 |
| Full Name | Avante Center For Counseling And Psychological Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 667 N Main St, Meadville, Pennsylvania |
| Authorized Official Name and Position | Kimberley S. Coddington (PSYCHOLOGIST) |
| Authorized Official Contact | 8143372037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avante Center For Counseling And Psychological Services, Inc. 667 N Main St Meadville PA 16335-1907 Ph: (814) 337-2037 | Avante Center For Counseling And Psychological Services, Inc. 667 N Main St Meadville PA 16335-1907 Ph: (814) 337-2037 |
| NPI Number | 1215322854 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 03/31/2015 |
| Medicare PECOS PAC ID | 6800194572 |
|---|---|
| Medicare Enrollment ID | O20160413000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215322854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PS016291 (Pennsylvania) | Primary |
| Provider Name | Kimberley S Coddington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467423756 PECOS PAC ID: 7618059908 Enrollment ID: I20080331000233 |
| Provider Name | Lisa Ann Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801995527 PECOS PAC ID: 2466627344 Enrollment ID: I20111205000062 |
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